Category: Centers for Medicare & Medicaid Services

  • Payer Influence Growing in Home-Based Care

    Another in-person event came and went this week, as Home Health Care News hosted its annual Capital+Strategy event in Arlington, Virginia. And as executives, analysts, private equity representatives and others gathered to discuss the state of home-based care, news dropped that UnitedHealth Group (NYSE: UNH) is acquiring LHC Group Inc. (Nasdaq: LHCG) and combining the […]

  • Bill Aiming to Significantly Extend the Acute Hospital Care at Home Waiver Introduced

    A bill that would extend the Acute Hospital Care at Home waiver has finally been introduced. Dubbed the “Hospital Inpatient Services Modernization Act,” the bill is sponsored by Sens. Tom Carper (D-Del.) and Tim Scott (R-S.C.), as well as Reps. Brad Wenstrup (R-Ohio) and Earl Blumenauer (D-Ore.). The bill would extend the waivers that have […]

  • Majority of US States Again Subject to CMS Vaccine Mandate After New Court Ruling

    On the last day of November, a nationwide injunction was issued by a federal judge in Louisiana to freeze the COVID-19 vaccine mandate from the Centers for Medicare & Medicaid Services (CMS). On Wednesday, the 5th U.S. Circuit Court of Appeals in New Orleans ruled that the injunction should not have been applied nationwide. Instead, […]

  • Home Health Improper Payments Increased to $1.84 Billion in 2021

    The Centers for Medicare & Medicaid Services (CMS) announced Monday it continues to see a major decrease in improper payments to providers, though not necessarily in the home health setting. Specifically, the agency said that there has been a $20.72 billion reduction in Medicare fee-for-service improper payments since 2014. “CMS is undertaking a concerted effort […]

  • ‘Layer Upon Layer of Regulation’: Breaking Down the CMS Vaccination Mandate

    Since the Centers for Medicare & Medicaid Services (CMS) released its interim emergency regulation relating to the federal government’s vaccine mandate last Thursday, more clarity has come to the surface. Specifically, CMS has made clear what health care providers are included, what individuals can be exempt and how the mandate will be enforced. Sign up […]

  • CMS Hopes to Support Home-Based Care with More Payment, Regulatory Flexibilities

    Officials from the U.S. Centers for Medicare & Medicaid Services (CMS) and its main innovation hub touted a “strategy refresh” on Wednesday. Among its key pillars, the refresh calls for greater payment and regulatory flexibilities supporting the provision of home- and community-based care. CMS Administrator Chiquita Brooks-LaSure discussed the strategy reset during a Wednesday afternoon […]

  • PDGM’s Base Rates Set 5.76% Below Budget-Neutral Levels, Analysis Finds

    The public comment period for the U.S. Centers for Medicare & Medicaid Services’ (CMS) home health proposed payment rule closed last week. Since then, the industry has voiced more substantive concerns with the rule than initially expected. The Partnership for Quality Home Healthcare (PQHH), for instance, recently released its own perspective, which was driven by […]

  • CMS Taking ‘Laissez-Faire’ Approach to Direct Contracting

    Signify Health’s (NYSE: SGFY) leaders are as cautiously optimistic and encouraged by the prospects of direct-contracting models as almost anyone. For now, Signify works with the government to give the Centers for Medicare & Medicaid Services (CMS) insight on how the models could work in the future. The company also works with adjacent organizations that […]

  • CMS Proposes $310M Home Health Payment Boost, National Expansion of HHVBP

    The U.S. Centers for Medicare & Medicaid Services (CMS) on Monday proposed plans to expand the Home Health Value-Based Purchasing (HHVBP) model nationwide by the start of next year. The agency did so in its proposed payment rule for 2022. In addition to the HHVBP expansion, CMS proposed to increase Medicare payments to home health […]

  • ‘A Unique Opportunity for Home Health Providers’: CMS Extends CJR Model

    The U.S. Centers for Medicare & Medicaid Services (CMS) has extended the Comprehensive Care for Joint Replacement (CJR) payment model. That’s welcome news for home health operators, as CJR has been a key program for participating agencies since its implementation. Introduced in 2016, CJR essentially allows CMS to hand out bonuses or inflict payment penalties […]

  • Direct-Contracting Entities Figuring Out How to Capitalize on Competitive Advantage

    A delay in the Global and Professional Direct Contracting Model by the Biden administration has put the already-accepted direct-contracting entities (DCEs) in a coveted position. New entrants are no longer being accepted for participation in the model while the Centers for Medicare & Medicaid Services (CMS) and its innovation arm review the details. That gives […]

  • Allegheny Health Network Expands Hospital-at-Home Program as CMS Waiver Total Hits 80

    The Acute Hospital Care At Home initiative from the U.S. Centers for Medicare & Medicaid Services (CMS) now has at least 80 participants, Administrator Seema Verma announced Wednesday. Unveiled in November, the initiative has been growing rapidly, especially of late. On its end, CMS hopes the emerging hospital-at-home models can increase acute care capacity and […]

  • More Than Half of All Home Health Agencies Have Treated COVID-19 Patients

    The U.S. Centers for Medicare & Medicaid Services (CMS) officially closed its public comment window for the 2021 proposed home health payment rule on Monday. Unlike the past couple of years, the latest proposed payment rule included relatively minor changes and rate adjustments for the year ahead. In light of the mild proposal, CMS only […]